Analysis of Death Cases of Children Hospitalized at the Koutiala URENI from October 01, 2021 to March 31, 2022
Keywords:Analysis, Death , URENI, Koutiala, 2021-2022
Infant and child mortality remains a major concern worldwide and more particularly in developing countries such as Mali. This is to better understand the reasons for this high mortality in Koutiala in the Sikasso region of Mali. Its objective was to assess the main determinants of deaths of malnourished children under 5 years of age occurring at the URENI (Unit for Recovery and Intensive Nutritional Education) in Koutiala. Materials/Methods: this was a cross-sectional descriptive study that took place in the URENI pediatrics department of the Koutiala reference health center, an exchange with the district management team, the documentary review , Observations on the task of the agents, Interviews of the actors involved in the care, analysis of the medical files of the malnourished children and the individual sheets for the follow-up of the malnourished cases admitted to the URENI. A pre-established framework made it possible to collect data through the admission register of malnourished children. The entry and analysis of the data collected were carried out using SPSS 21.0 and EXCEL 2016 software. Results: Children aged 6 to 23 months who died represented 44.4% and 72.2% were male. 11.1% of the children came from the urban city and 18.1% who were from the rural area; the most frequent type of malnutrition was marasmus with 59.7% followed by kwashiorkor with 20.8%. More than half (88.9%) of the children were seen by referral. Conclusion: this study revealed in Koutiala that marasmus was the most frequent form of malnutrition and many children who died came from outside the health district. It was also noted that infection (sepsis) was the main cause of death of children hospitalized at the URENI in Koutiala.
. WHO. World Health Statistics, 2012. 180 p
. World Health Organization (WHO), World Health Statistics 2011. 162:12-13
. World Health Organization (WHO), World Health Statistics 2013.
. WHO. Fact Sheet No. 178, 2012: http://www.who.int/gho/publications/world_health_statistics/2012/fr/
. AG IKNANE A, RAKI BAH, OUATTARA F, CISSE A. et al. Basic elements in human nutrition, Volume1, Edition l’harmattan, la Sahelienne, December 2011, 78p.
. WHO. The management of severe malnutrition: a manual for doctors and other health personnel in management positions. Geneva: WHO; 2000. 32p.
. Ministry of Health and Public Hygiene of Mali: Nutritional Anthropometric and Retrospective Mortality Survey (SMART) 2019.52 p
. Ministry of Health and Public Hygiene of Mali: Nutritional Anthropometric and Retrospective Mortality Survey (SMART) 2020.54 p
. Ministry of Health and Public Hygiene Mali: Nutritional Anthropometric and Retrospective Mortality Survey (SMART) 2021.54 p
. National Institute of Statistics (INSTAT): Demographic and Health Survey of Mali (EDSMI-VI) 2018. 193 p.
. Bazié H. Epidemiological, clinical and evolutionary profile of patients admitted to hospitalization in the pediatric department of the Yalgado Ouédraogo university hospital center. Medical thesis, Ouagadougou 2009, n°42; 80p.
. SANOU R. Characteristics of children hospitalized in pediatric emergencies at the Yalgado Ouédraogo university hospital center from January 1 to December 31, 2010. Medical thesis, Ouagadougou 2012, n°119; 114p.
. BAMBA D. Audit of deaths in children aged 0 to 59 months in the commune of Finkolo AC in the region of Sikasso from September 1, 2011 to August 31, 2012. 137 p
. SANOGO M. Evaluation of the nutritional status of children under five in Banconi. Medicine thesis. Faculty of Medicine and Odonto-Stomalogy, Bamako 2013. 196 p.
. Barry B. O. S.: Evaluation of the management of severe acute malnutrition in the pediatric department of Gao hospital in 2009. 148 p.
. SOUNTOURA A I.: Audit of deaths in pediatric emergencies at the Yalgado OUEDRAGO university hospital center from January 1 to January 31, 201. 139 p.
. DIARRA SO. Mortality and morbidity of children in the pediatric department of the regional hospital of Sikasso. Thesis of Medicine, Faculty of Medicine and Odonto-Stomalogy, Bamako, 2013. 145 p.
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